Maillet P J, Dulac J P, Barth X, Pelle-Francoz D, Peix J L, Bobin J Y
J Radiol. 1986 Mar;67(3):225-9.
Three patients had colonic perforation as a result of percutaneous nephrostomy and lithotripsy. These patients did not respond to conservative measures and required surgery (colostomy, hemicolectomy, drainage). This report reviews the anatomic and technical aspects of percutaneous access to the kidney. Fluoroscopy and ultrasonography do not allow simple and accurate information of the position of the colon, and CT is the method of choice. Some factors seem of high risk : thin and young patient, female, dilated pelvo-calyceal system, associated colonic obstruction.
三名患者因经皮肾造瘘术和碎石术导致结肠穿孔。这些患者对保守治疗无反应，需要进行手术（结肠造口术、半结肠切除术、引流）。本报告回顾了经皮肾穿刺的解剖学和技术方面。荧光镜检查和超声检查无法提供关于结肠位置的简单准确信息，CT是首选方法。一些因素似乎具有高风险：瘦弱的年轻患者、女性、肾盂肾盏系统扩张、合并结肠梗阻。
